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98-589 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK January 21 i Date 14 _ 98589 This is to certify that work requested to be done as shown by Permit No. has been completed. SINGLE FAl4ILY DWELLING I'his structure may be occupied as a ts&P�� FIELDVIEW SOUTH Location CERERONE BUILDERS , INC . Owner TAX 14AP NO . 48 . - 7 - 4 By Order Town Board -�TOWT4 OF QUEENSSURY Director of Bldg. & Code Enforcement BUILDING PERMIT VALUE S 1150�PWN OF IQUEENSBURY No. 4s58s TAX MAP NO . 48 . -- 'T - 4 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to CERRONE BUILDER OWNER of property located at _ LOT *4 FIELDVIEW SOUTH __ Street. Road or Ave. in the Town of clUf-'LHISbG1'y. To Construct or place a SINGLE FAMILY at the above location in accordance to application together with plot plans and other information hereto filed and approved and in compliance with the Town of Queertsbury Building and .Zoning Ordinance. UNSETTRAIL NSBURYr NY 12804 OR or BUILOEIM Name ONE BUILDERS SILdressNSBURY , NEW YORK 12804 4. ARCHITECT"5 Flame COMMONWEALTH ELECTRICAL AGENCY S. ARCpIffE +dd1�.'F� HAGUE , NY 12836 liiiiiiii S. TYPE of Construction — IPleese indicate by XI SINGLE FAMILY DWELLING l I Wood Frame 11 lrtaeorx'y f Steel ( I 7- PLAINS end SpellIcations 1884 SQ FT SINGLE FAMILY DWELLING WITH 2 -CAR ATTACHED GARAGE AS"OPER PLOT PLAN SPECIFICATIONS Jill Jill Jill I B. Proposed Use SINGLE FAMILY DWELLING 245 September 28 2000 PERMIT FEE PAID - THIS PERMIT EXPIRES , S {If a longer period is npuired an application for an extension muse be mach to the Building and Zoning inspector of the town of Uueensburyr before the expiration date.l 1 998 28 September Dated at the Town of f]ueensbury this Day of 19 for the Town of Queernsbury SIGNED By Building and Zaniry inspector Building Permit Application Town of Queensbuty - DeIN. if caffrfuu,iy Ues'elulxfrefrl, 742 I1ify Rand, Queensbury, NY 12804 1761-82561 qt� BUILDING .fr CODE ENFORC' EAfENT Requirements prior to issuance A permit must be obtained before of this permit: PERMIT FILE NO. _ { OC'� willung construction. No inspections PERMIT FEE !"AID s will m made until applicant has received © Zoning Board Action it VALID BUILDING PERMIT. All Area I Uwe RECRCATIt7N FC8 P � applicants' spaces on this application MUST be completed fm& die signature Q Plulening Bkvrard Aeliatt REVIEWED 11Y.• of the applicant must appear on the SpR / Stibdivisioa I other Inow rw• pplicatinn forrn. A6..i ,.. Recreation tree Pnyrnent Applicant: Owner: Address: f�aE� c ]l/,d/tfa°' i�'G1�/ �a ! /'�"►ddress• I'lsone # (, ^) - � _ Phone # I'roperly I ,ircatittitti:/ Z. Ali? / EaI' G� C.F'' ;illlltlEYE1tEIIII .iVlltli l ` Tax Mall Nimilipr Nuvikili 111txk lot HATUjW Or PROPOSED WORK-1 ESTIMATED MARKST VALUE. OF THE t/ New Building *i ld3 ng : CONSTRUCTION: $ 4em."G/ residence / commercial Addition to Building * . residence / commercial OCCUPANCY INFO MA"T' ION i Alteration to Building : Primary Building residence / commercial , o Single Family Dwelling Residence / Commercial Two Family Dwelling ,r no change to exterior size Family Dwelling office other Work ( describe below ) ,Mercantile Manufacturing SEP 18 1998 ' GROSS AREA OF PROPOSED STRUCTURE : other ,r 1f ADDITION , what will use lot Floor . . . . . . . .3 sq * ft , of newadd0 ' on be ? Other Floors . . . . . sq . f t . 7_ ( not unfinished cellar or basement ) ACCESSORY BUXLDINGS : (� Detached Garage 1 , 2 car TOTAL FLOOR AREA. : ' ; tT ` 5Q . FT . Attached Garage 1 , <4 ca� Private Storage Building SIZE F'OF NEW STRUCTURE * commercial Storage Building �d FEET K FEET Other Foundation Type : Will any second- land or ungraded Number of Stories * lumber be uses/{ f so , for what ? ( habitable space only ) Height ( grade to ridge ) : feet TYPE O1F HEATING SYSTEM * Number of fireplaces and/or w o stove ( circle ' all which lids } to be installed : . . / Gas / /Wood Forced Hot Air)/ seboard / Other Person reepoWbLm for euperviaJon f w as regriards to buildeng codes is N6—me AddreB r, J phone{ Builder : .+ Plumber : Macon : r Electrician : DECL.AIiATTUN Please sigrr below gftei you Furve carefully read die staletrrertt. To the best of my knowledge the statements contained in this application, together with the plans and specifications submitted, are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the Building, Code, the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied with, whether specified or noted, and ilia( such work is authorized by the owner. .Further, it is understood that I/we shall submit prior to a Certificale of Occupancy' or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by a Licensed surveyor• r n to sc towing actual location of project on premises. Signature: owner, owners agent, architect, contractor) Application for SEPTIC DISPOSAL PERMIT To%vn of Queeasbury Y ] G Dept_ of Corn unity Development Permit No. CJ Building & Codes Office 742 Say Road Fee Paid S Quaezisbury, IVY l27so4 Location of property for installation:Ct�G� Property Owner's Name: Propertv Owner's Nviailin,a Address: rya t'-`i "re Installer's Name: /�/ /dI/C.d1�i Phone # Number of bedrooms (if residential) : � Toml daily flow: (reside dal - compute 150 ga1.1bdrm.) Topography: /�ffat, roiling, steep slope % of slope Soil Nature: sand, ✓� loam, clay, othc I depth: Ground water at what depth? feet I Bedrock or ltzroe^rcus '✓IateriaF: at wi+ar depth? feet perft=lat=on test: not reauaLzed, require: [ rrare ram. per inch J Domestic water supply: municil a , 1/ we cT If domestic water su=ly is a WELL, water supply ='cm any sewer absorptica is PROPOSED SYSTEM Septic Dalian (minirntstrt size: I ,CCO }. Tile field:. each trench?_ feet I Total sys..em. '=.h: ZidO feet Seemcge pit(s): number of I size eat: fit by fL Size of stone to be used: r ! depth or tbic feet HOLDFiYG TANK SYSTEM. (if required) Nurnber of tams: Size of each-. Mons A3axm system mid associated. electrical wark to be a=oecz d. by a certified ageoey. Far your prate- please note that pcus„a.,t to c�a. 136-29 of the Code of zte Town of Qoeemburv, nay Permit or a�^Ctovai wed which is based upon or is granted i m r,-Usnr„ a, upon =y mmareecai =isrupreseabutica or fsulurs = make a ,„a t.., W fart or cirru="tan a known by or ou behalf of as agplicamt, shall be vcacf. L- ���} t�,„� ,,,.o„iar:.,.,. ram,., g=d to abide tw, � and all _ ,ireme=3 of the Town of I have read •ate � with r= to Ll'4a, may _ - 1� Quaersburf Sanitary Sewage Disposal Sic ature of responsible perso Date: �� Sc� ENERGY CODE COMPLIANCE APPLICATION TOWN of QUEENSBURY , WARREN COUNTY 9000 HEATING DEGREE. DAYS ; 191998 Compliance Methods : PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings ( only ) PART 6 * -- Thermal Rating - Component Trade offs 1 & 2 Family Dwellings ; Multi -Family Dwellings ( 3 stories or less ) PART 4 * - Design by Component Performance Commercial Buildings -Hi Rise Residential * Requires submission of worksheets APPPLICANT ' S NNA'ME : PROPERTY LOCATION : PART S METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE : 1 , Gross Floor Area - 1 square feet 2 . Type of Heat - Electric Oil � .r. Gaeeeee Other 3 . Is building mechanically cooled ? Yes � No 4 . Percentage of area of windows and doors Over 17 % Under 17 % 5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED : R a . Roof be Exterior walls R c . Glazed areas R d . Exterior doors R e . Floors over unheated spaces R f . Edge of slab on grade ( heated building ) R --~^ g . Basement / cellar walls ( above grade ) R h . Basement / cellar walls ( below grade ) R f' f i . Heating/ cooling-ducts -piping in unheated space R _�--- 6 . Service ( domestic ) hot water heating device Conforms to minimum efficiency per code / Yes No TEMP RATURE CONTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED App ant ' gnatureoe !r r'r, ffP ie Pho� u�- INSPECTOR ' S REMARKS : RESIDENTIAL FINAL INSPECTION REPORT Date inspection request received' Office No. (S18) 761-8256 ? Building ds Code Enforcement arni Dep Dept. of Community Development Arrive motor's initials Town of Queensbury 742 any Road Queensbury, New York 12W178 PERNAME t� U +� DATE . # . LOCAMN 'I"Y'P'E OF STitL3CT[.TRE NIA 5 NO coNO1ENTS Chimney Height/" 3" VentMirect Vent Location Fresh Air lntake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30" to 36" C /L� )9xtenor Handrails, bat ding 1 $ in. or more Intenor Handrails both si 3 or more risers Grade 2% away fro foundation I T 8" clearance to sill ate ator I8" above grade Gas valve shut-off poposed/ ra feet or within line ra site Gas Furnace shut-0 within oil Furnace T t cc to furnace 'area F of Water ter oPma�g elief Valves) instal 6 fl_ 6 in. stairs ent stairs, 6 ft. in. Handmil exterior stairs sides mare than 3 risers Interior privacy/trimidoor (main entrance 36" Floor Finish Batbroom/YCitchen watertight 1 g in. or more Interior Handrails Balconies/L anding Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/4 hour fire door/door closer (_;arage fireproofing Garage penctmtions sealed Furnace in separate room protected (in garage) Light ventilation per room Safety glazing 18" or less from floor Final Electrical Site Plan/Variancc required Final Survey Plot Plan As Built Septic Svstem layout required Okay to issue C/C: (Certif. of Compliance)� Okay to issue temp. C/o (Certif. of Occupancy) — Okay to issue permanent CIO (C;enif. of Occupancy) 'f0� �UEE�t3F RC'EL.yENT HU ILL)117G �' C 6nY ROAD 7A2 eL QUEENSH , A5-AAA7 � 516 i { I is S r ; __—•-----."" S srecxxoN rMpowr F•IHAL VEST �~ SATE IN$pGT IdN FLE4 !_�_^---�'_" � TYPE dF STRVCTURT .oil ..---• ,p-aLSNAATION TIC __-- I O u A jvtjr _ SEF VL? O 4LdU" PL 1T31T AuT�"-- �5"1'a p •_ ---^' pINh1- EUEC. L}ECLC +paRCii STEP' REI lv'��LV s RA URN AC pItI.V IN ERrd TR TtS . F 2N I FI.Q GIiT i1 K CH W AT -�F.' 6 5�..___W6EFA E 4L.F-I'-O.'_. A,ft T ES7 pTFI'Eit �=d S GS EARA_.-NCE --- S� E. EC a KRCYC HA G p "wrT L,uMei�' � A IaN S' GARAGE 'FIR - pOa I CLdSER�� -------'` -1- VARI3�NCE' L,Orr 10 L S S[3 C RESIDENTIAL FINAL INSPECTION REPORT Offiee No. (51$) 761-825f+ Date'inspection request received- Office Building & Code Enforcement ' Dept of Community Development Arrive am►1 Depart k�-/ Town of Queensbuury Inspector's Initials 742 Bay Road Queensbury, New York 128" PERMIT # 13 4ME �. DATE LOCATION TYPE OF ST'RUCT JRE NI YES NO COMMENTS Chimney HeightP'B" Ventruirect t Loca n Fresh Air Intake plumb Vent through roof Roof Complete Exterior Finish Complete Int,enorlExterior Railings 3D" to 36" Exterior Handrails, balconies, landing 18 ' . or more Interior Handrails stairs both sides 3 or mo risers Grade 2% away from foundation 8" clearance to sill plate Gas Valve shut-off exposed/regulator 18" above grade — Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Furrnacettiot Water Heater opera Relief Valve(s) Installed Headroom, 6 ft. 6 in. on stairs Basement stairs, 6 ft. 4 in. Handrail exterior stairs both sides more than 3 risers 4,e. Interior pnvaevltrim/doors/main entrance 36" Floor Finish Bathroonv'K.itchen watertight _ Interior Handrails Balconies/Landing 18 in. or more Railing across window in stairwells f Smoke Detectors: every level every bedroom � �,pQ outside every bedroom AS `r.� t• S inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/4 hour fire door/door closer Garage fireproofing Garage penetrations sealed Furnace in separate room protected (in garage) Light ventilation per room Safety glazing 18" o ie from floor Final Electrical 1 R Site Plan/Variance reel al Survev Plot Plan /�' �t-r- A 4S . 4i 0 !l.T' As Built Septic System layout required Okav to issue C/C (Certif. of Compliance) Okav to issue: temp. CIO (Certif. of Occupancy) Okav to issue permanent C/o (Certif. of Occupancy) COMMONWEALTH ELECTRICAL INSPECTION SERVIC�E,�C. ,n :Hain Office 176 Doe Run Road - Nlanhelm. PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL 0 Cut-in Card No....... ....... ........... ...... ...... Panci Board No..............................Cert_ �� 66243 /! 2 11.i G .. ....rZ5L Z%Oe'�'.r......................-..............._......--..,,.. -..........�,... ... .-... Owner'....,...1�,. .�`t.. `��,./..... ...... ... Glt t� q-qe Location ., ...P ....:7.._.... ........ .... .. ... t r T.7' `'F / in tal iron Consisting f ...................,-..,................ 1...- �.y......-.. .- W l? Jl Q . .. ..... ....1, �...k r' ` ' �y.-�i . i�er 'lH T ..._ ./ �....., C C .... .. .........k. ... Installed 13 ,ff_'� Lic. Na. ............._..... y,...�'...t.��.................................................................... . The conditions following governed the issuance of this certificate. and any certificate previously issued is cancelled! - This certificate only covers the electrical equipment and installation conditions as of date. Upon t he introduction of additional equipment or alterations- application shall be promptly atadnyttim%Pecki0 and f its Inspectors of this Cumpany shall have the privilege of makin rules are violated, the Company shall have the right to rev [his er cat /� ... IINSPECTOR ......... ............................................................ lI]atc..�....!.................... .............. member N.F.P.A-, i.A E.1- GENERAL MEECEM REFM Town of Queensbury Dept_ of Community Development Date inspection request received: Building & Code Enforcement Qr , 1 742 Bay Road Depart / '' - 'am►' NY 12804 Arrive am/pm P Queensbury, Inspectoes Initials NAME: , PERMIT # LOCATION- DATE TYPE OF STRUCTURE: RECHECK N/A YES NO COMMEt1TS Footing:VIPiers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection front freezing for 48 hours following the placement of the concrete. Materials for this pu Foundation/Wallpou Reinforcement in PWAb Foundation/Dampp Back fill A�praval Plumbing Under St Plumbing Vent/Ven Rough Plurnbin Heating Rough-In �rlation W Foundation 'WallFoundation W Floors , R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent FramM Jack Studs/Headers Bracing/Bridging, joist Hangers jack PostslMain Beam Air Infiltration Barrier Fire Separation 1, 25 3, hour. Penetration Sealed Fire Wall 2. 3, 4 hour Firestopping R +GF�1 VE1tiGiL IN ECTIU.N REPrDRT a/4v Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement _ 742 Bay Road r �j Queensbury, NY 12844 Arrive am/pm Dep Inspector's batiais NA1wfE: S PERMIT # LOCATION: DATE : TYPE OF STRUCTnUiRE: i RECHECK N/A YES NO CONIMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible f providing protection from freez' for 48 hours following the Placeme of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing, Heating Rough-In Insulation Foundation Wails Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spades R- Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Ham rs J sts/Main Beam nfiltration Barrier. Fire Separation 1, 2, 3, hour Penetration Sealed _-- Fire Wall 20 3, 4 hour _.... Firestopping. FIRE MARSHAL TOWN OF QUEENSBURY QUEENSBURY, NY 12804 (518) 761 -8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED Za. PERMIT # !I" NAME 5 _ LOCATION SCHEDULE INSPECTI NON ANYTIME r APPROVED N/A YES rO EXITS AISLE IDTHS EXIT SIGNS - - -- EMERGENCY LIGHTING -- FIRE EXTINGUISHERS FIRE ALARM SYSTEM --- - - - - FIRE SPRINKLER SYSTEM - - - -- — -- _ FIRE SUPPRESSION SYSTEM HOOD INSTALLATION - - - - - - INTERIOR FINISHES STORAGE: CLEARANCE T SPRINKLERS CLEARANCE O HEATING UNIT - - -- — REQUIRED SIGNAL -- CHIMNEY WOOD STOVE lie FIREPLACE - M SONRY —__-- ----_-�- - - -- _-. _-- FIREPLACE - F ORY BUILT REMARKS: - - ----- -- OK TO HIS DATE Pc ��c ( �J INSPSUP.PUB INSPECTOR Ae GENERAL INSPECT'�(7N REPCIRT ns °- ToWQ of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Say Road 'k c� lam/ Queensbury, NY 12804 Arrive am/pin Depart run Inspector's Initials - J NAME: L- r� •�' PERMTI # ` LOCATION: c �rutcJ `J DATE : _ TYPE OF STRUCTURE: RECHECK NIA YES NO CONS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is respolm a for providing pntection fro freez' for 48 hours following p nt of the concrete. Materials for n site Foundation/Wallpour Reinforcement in Place Foundation/Daxnpproob g BackFill Approval P,lrumng Under Stab lumlbiuing Vent/Vents in Place Rough Plumbing. All ' �}I-Jeating Rough4n Vnsulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in �r q � � �, ✓2 �G Giy � � � C unheated spaces R- ,Frmoppeer�Vent, Attic Vent ,drack Studs/Headers Bracing/Bridgin mist Hangers jack Posts/Main Beam _ Air Infiltration BarrierP+CG'{C' '+FW-�' f� y°k� lc Cc+E'ti+C- 2 Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2. 31 4 hour -- Firestopping GENERAL WSPECT!ON REPORT Town of Queensbury Dept. of Community development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbary, NY 12804 Arrive am/pm Depart e/tPamJpm Inspector's 1niVwls _ r NAME: C�- RRe .t1 C-- FERMiT # +� "' S "f LOCATION: r i r 4 AO L• C-� s DATE : �- TYPE OF STRUCTURE: RECHECK NIA YES NO COMMErNTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from for 48 hours folio 'ng the p cement of the concrete. Materials for this on 'te FoundationlWallpour Reinforcement in Place Foundation/Dam Backfill Approval Plumbing Under Slab plumbing VentfVen in Placec E� � �i',y► G � / C ��G � r' 2`�� +"mac �2 _ 1`��=� ��t /Rough Plumbin L Heating Rough-In insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- r Vent, Attic Vent ng Jack StudsJHeaders Bracing/Bridgin Joist Hangers Jack Posts/Main Beam Air infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppin GENERAL INSECT DRT Town. of Queensbury /y- Dept, of Community Development Date inspection request recelved: / c Building dui Code Enforcement 742 Bay Road Q► ,r-- -- ueensbury, NY 12804 Arrive am/pm Depart f a'z%m/pm Inspector's inl�tial-ate NAME: ' PERMIT #E LOCATION: DATE : TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS FootingsJFiers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours fallowing the placeme of the concrete. Materials far this on si Foundation/Wallpo Reinforcement in Place Foundatiotul?ampproo6n Backfill Approval Plumbing Linder Slab ilurnbing Vent/Vents in Place. ��� gh Plumbin Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spades R- Pro r Vent, Attic Vent min /Ap6T+e c, Jack Suxis/ueaderS Bracing/Bridging, Joist Hangers -t- Jack Posts/Main Beare L/ i Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2. 31 4 hour Firestoppin TOW OF QUEENSBORY L/ V BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (519) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name � f-� �'- Loca ti on Dater - l� _ Permit # � "L SOIL TYP : ' J �+ aY".. Results ofslpercolation Test- ( if appl c le ) Rate-Minot nch_ TYPE OF SYS ABSORPTION FI : Total ength Length of each t ch Depth of trenches Size of stone SEEPAGE PITS : u Size - f - � � .=� Stone size ---�� PIPING : Size ype Bldg . to Tank _ H�. 9u . Tank to (fist . Box Dist . Box to Field/Pit openings Sealed ? Yes No artsai LOCATION/SEPARATIONS : Foundation to Tank lG feet Foundation to Absorption �-zj:> feet Separation of Pits fo Conforms as per Plot Plan Y LOCATION OF SYSTEM ON PROPERTY : ( circle one ) Front Ri cht _ Side Middle Front " t' COMMENTS : f .f SYSTEM USE APPROVED : Y Arri D rt i u Id g p ctor i ,r ,,pal r 1 'aid j + r rya SEPV8 M8 I ! 46imb isbow atsk 1p t +l�sgo " � r +GENERAL IN S ' 'PE I N Town of Queensbury Date inspection request received: �.— Dept. of Community Development �s Building & Code Enforcement / 742 Bay Road Arrive am/pm Depart Queensbury. NY 12804 ,inspector's luitials PERMIT # w C" NAME: DATE ; g LOCATION: 'TYPE OF SEUCT 'T URE: RECHECK N/A YES NO CouWMNTS i FootingslPiers Monolithic Pour Form Reinforcement in Plane responsible for The contractor is providing protection from freezing for 48 hours following the Placement of the concrete. Materials for this purpose on site F oundati pin+'W allpour Reinforce in Place Foundation/D PP Sr Slab Plumbing Veut/Ven in Plane_ Rough Plumbing Heating Rough-ln insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R.- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Frarnin Jack StudslHeaders BracingBridgm Joist Hangers lack Posts/Main Beam Air Infiltration Barrier Fire Separation 11 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppin GENE R'A7 INSpECTI0IV REFURT ` �• o' ` '' Town of Queensbury d� inspection request rceiv+ed: Dept. of Community Development Date Building & Code Enforcement 742 Bay Road „■pm Queenabury, NY 12t3[14 A am/pm Depart pm inspector's Initials NAME: PERMIT 4 Gf' LOCATION: DATE : TYPE. OF STRUCTURE: RECHECK NIA S CONDAENTS US l Mo, olithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site FoundationlWallpour, Reinforcement in Place Foundation/Dampproofing. Backfi l Approval Plumbing Under Stab Plumbing Vent/Vents in Plane Rough Plumbin Heating Rough-in Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridgin Joist Hangers Jack Posts/Main Beath Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestoprpirlg